When developing a treatment plan for cervical cancer, it is important to be able to determine a patients prognosis, ideally at the time of diagnosis. Existing methods to arrive at a prognosis can be time consuming, inaccurate and may require specialized software. Therefore, doctors from the Washington University School of Medicine developed – and validated – an accurate, reproducible and quick prognostic system.
The researchers created a grading scale to use in conjunction with a simple visual analysis of 18F-FDG PET scans. The grading system considered the size and shape of the primary tumor, as well as the heterogeneity of 18F-FDG uptake and presence of lymph nodes. A cutoff value was established to separate the women with "good" and "bad" prognoses, and Kaplan-Meier analysis provided a guideline both for progression-free survival and for overall survival. Researchers also examined whether knowledge about the presence of lymph notes impacted the efficacy of the system.
The retrospective study was conducted using data from 47 patients. Three independent observers, who had no knowledge of the patients, evaluated and graded the PET scans. The close scores and survival prognoses of the three observers demonstrated the reproducibility of the test. A comparison of the observers projected outcomes and the actual outcomes verified the accuracy and the power of this visual analysis; for example, 80% of those women who were predicted to have a bad diagnosis did not survive while only 10% with a good prognosis died. The information about the presence of lymph nodes increased the accuracy only slightly compared to the analysis of tumor characteristics alone.
Kimberly A. Bennett | EurekAlert!
Laser activated gold pyramids could deliver drugs, DNA into cells without harm
24.03.2017 | Harvard John A. Paulson School of Engineering and Applied Sciences
What does congenital Zika syndrome look like?
24.03.2017 | University of California - San Diego
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to simulate these confined natural conditions in artificial vesicles for the first time. As reported in the academic journal Small, the results are offering better insight into the development of nanoreactors and artificial organelles.
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to...
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24.03.2017 | Physics and Astronomy